ROBERT PARK BOTTORFF

Controlled Substance Registration - Physician

Indiana  01030293B   Suspended

This Indiana license was held by ROBERT PARK BOTTORFF. The license is no longer active. It was granted on 08/31/1985 and expired on 06/30/1991

LICENSE DETAILS

  • License Number: 01030293B
  • Category: CSR-Physician
  • Status: Suspended
  • Date Granted: 08/31/1985 (over 38 years ago)
  • Expiry Date: 06/30/1991 (almost 33 years ago)

LOCATIONS

A Address

5708 NEW CHAPEL ROAD, JEFFERSONVILLE IN 47130